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The Short-term Prognosis of Different Treatment Methods and A Survey of Current Practice in Patients with Acute Myocardial Infarction of Ningxia Hui Autonomous Region.

Author: CaoZuo
Tutor: JiaShaoBin
School: Ningxia Medical University
Course: Internal Medicine
Keywords: Acute myocardial infarction Treatment Percutaneous coronary intervention treatment Prognosis Retrospective study
CLC: R542.22
Type: Master's thesis
Year: 2010
Downloads: 6
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Abstract


Objective: To investigate the different treatment on the the recent prognostic impact of the Ningxia Hui Autonomous Region with acute myocardial infarction; analysis and different levels of hospital treatment of acute myocardial infarction status quo. Method: 1) A case-control study, the 1990 AMI patients diagnosed in 2006-2008, seven hospitals, including complete data of 1367 patients clinical data were retrospectively analyzed. Patients receiving treatment were divided into conventional treatment group, 669 cases, 151 cases of intravenous thrombolysis, PCI group, 177 cases, 370 cases of elective PCI group. Comparing four groups of patients with clinical data, observe the different treatment groups of patients with short-term prognosis (recurrent angina, malignant ventricular arrhythmias and death). 2) understand the tertiary hospital for nearly three years and two hospitals in the acute phase of AMI hospitalization mode and drug use. Results: 1) general clinical data of the four groups of patients (mean age, sex ratio), the incidence - admission time, admission - reperfusion time, the combined proportion of patients with STEMI, left ventricular ejection fraction (LVEF), the proportion of drug treatment significantly the difference (P lt; 0.05), and the remaining clinical features were no statistically significant differences (P gt; 0.05). PCI group with elective PCI patients in the degree of stenosis, coronary arteries, collateral circulation was statistically significant (P lt; 0.05). The remaining coronary angiography relevant parameters similar. Conventional treatment group recurrent angina, malignant ventricular arrhythmias than intravenous thrombolysis group (P lt; 0.05), mortality in the two groups was no significant difference (P gt; 0.05); the direct mortality PCI group was significantly lower than intravenous thrombolysis suppository group (P lt; 0.05), recurrent angina and malignant ventricular arrhythmias was no significant difference (P gt; 0.05); elective PCI group of malignant ventricular arrhythmias was significantly lower than direct PCI group (P lt; 0.05) However, recurrent angina and mortality was no significant difference (P gt; 0.05). 2) in the last three years of my top three hospital treatment model for drug treatment (34.5%), intravenous thrombolysis (9.0%) and PCI patients (56.5%), 65.5% of the total reperfusion rate of early reperfusion rate (thrombolysis direct PCI) was 25.2%, the thrombolytic accounted for 9.0%, of direct PCI16.2%. The four secondary hospital treatment model for drug treatment (79.3%) with intravenous thrombolysis (20.7%). Medications, aspirin, clopidogrel, ACEI / ARB, β-blockers, the statins drugs and other drugs used in combination situation has basically reached the level of the the domestic same period clinical epidemiology. Conclusions: 1) intravenous thrombolysis group improve patients with recent symptoms better than drug treatment group; direct PCI group mortality was significantly lower than the intravenous thrombolysis group (P lt; 0.05); elective PCI group of malignant ventricular arrhythmia incidence was significantly lower in the PCI group (P lt; 0.05). 2) My top three hospitals AMI treatment modalities, reperfusion rate, drug usage has reached the level of the major cities in the country. The two hospital intravenous thrombolytic therapy proportion below the national average, drug utilization rate of basic standards.

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CLC: > Medicine, health > Internal Medicine > Heart, blood vessels ( circulatory ) disease > Heart disease > Myocardial diseases > Myocardial infarction
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